The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain

Durmaz, Hilal; Pamuk Cebeci, Sevil

doi:10.20515/otd.1361722

The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain

Hilal DURMAZ, (Eskişehir Osmangazi Üniversitesi, Sağlık Bilimleri Enstitüsü, Hemşirelik Temelleri Bölümü, Eskişehir, Türkiye)

Sevil PAMUK CEBECİ (Eskisehir Osmangazi Üniversitesi, Saglik Bilimleri Fakültesi, Hemşirelik Temelleri Bölümü, Eskişehir, Türkiye)

Osmangazi Tıp Dergisi

4 4

Yıl: 2023 Cilt: 45 Sayı: 6 Sayfa Aralığı: 963 - 977 Metin Dili: İngilizce DOI: 10.20515/otd.1361722 İndeks Tarihi: 22-12-2023

The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain

Öz:

This study was conducted between November 2021 and April 2022 to examine the effect of back massage applied to palliative care patients receiving inpatient treatment in the palliative care service of a hospital in Bilecik, Turkey on sleep quality and pain. A pretest-posttest control group randomized experimental design was used. A total of 52 volunteer patients, 26 in experimental and 26 in control groups, were recruited. A Patient Identification Form, the Pittsburgh Sleep Quality Index, and the McGill Pain Scale-Short Form were used to collect data. The experimental group was given an 18-minute a day back massage for seven days by the researcher. To evaluate the effect of the back massage, the Pittsburgh Sleep Quality Index and the McGill Pain Scale-SF were filled out. At the end of the 7th day, intra- and inter-group differences were examined. The statistical significance was accepted as p<0.05. Both groups were equivalent regarding some individual characteristics (age, gender, level of education, and medical diagnosis). The seven-day follow-up results regarding the experimental and control group patients’ sleep and pain indicated a significant difference between the groups in favor of the experimental group after the 4th day (p <.001). A statistically significant difference was found between patients’ mean sleep quality scores according to 2*2 MIX ANCOVA test results both in interaction (F(1,50)= 15.899, p<.001, η²=.016) and between groups (F(1,50)= 27.271, p<.001, η²=.10). There was a statistically significant difference between patients’ mean pain scores according to 2*3 MIX ANOVA test results regarding both measurement time (F(1,50)= 7.619, p<.001, η²=.013) and interaction (F(1,50)= 48.751, p<.001, (η²=.083). In this study, a back massage was applied to palliative care patients for seven days, and there was a statistically significant increase in patients’ sleep quality and decrease in pain levels starting from the 4th day of the application.

Anahtar Kelime: Back massage palliative care sleep quality pain holistic care nursing care

Palyatif Bakım Hastalarına Uygulanan Sırt Masajının Uyku Kalitesi ve Ağrıya Etkisi

Öz:

Çalışma, palyatif bakım hastalarına uygulanan sırt masajının uyku kalitesi ve ağrıya etkisini incelemek amacıyla, Kasım 2021- Nisan 2022 tarihleri arasında Türkiye’de Bilecik ilinde bir hastanenin palyatif bakım servisinde yatarak tedavi gören hastalar ile yapıldı. Ön test-son test kontrol gruplu desene sahip randomize kontrollü deneysel çalışma olarak planlandı. Örneklemi 26 deney, 26 kontrol olmak üzere toplam 52 gönüllü hasta oluşturdu. Deney grubuna 7 gün boyunca her gün 18 dk. süreyle araştırmacı tarafından sırt masajı uygulandı. Deney grubuna uygulanan sırt masajının etkisini değerlendirmek için Pittsburgh Uyku Kalitesi İndeksi, McGill Ağrı Ölçeği-Kısa Formu dolduruldu. 7. Günün sonunda grup içi ve gruplar arası farklar incelendi. İstatistiksel anlamlılık düzeyi p<0.05 kabul edildi. Deney ve kontrol grubunun sosyo-demografik özellikleri incelendiğinde, her iki grubun yaş, cinsiyet, eğitim durumu, tıbbi tanı gibi bireysel özellikler bakımından benzer olduğu görüldü. Deney ve kontrol gruplarındaki hastaların uykuya ve ağrıya ilişkin 7 günlük izlem sonuçları incelendiğinde; her iki grup arasında 4. günden sonra deney grubu lehine anlamlı farklılaşma başlamıştır (p<.001). Hastaların uyku kalitesi puan ortalamaları karşılaştırıldığında; 2*2 MİX ANCOVA test sonuçlarına göre; hem etkileşimde (F(1,50)= 15.899, p<.001, η²=.016), hem de gruplar arasında (F(1,50)= 27.271, p<.001, η²=.10) istatistiksel olarak anlamlı farklılık bulundu. Hastaların ağrı puan ortalamaları karşılaştırıldığında; 2*3 MİX ANOVA test sonuçlarına göre hem ölçüm zamanı (F(1,50)= 7.619, p<.001, η²=.013), hem de etkileşimde (F(1,50)= 48.751, p<.001, η²=.083) istatistiksel olarak anlamlı farklılık bulundu. Bu çalışmada, palyatif bakım hastalarına 7 gün boyunca sırt masajı uygulanmış, uygulamanın 4. gününden itibaren hastaların uyku kalitesinde istatistiksel açıdan anlamlı artış ve ağrı düzeylerinde ise anlamlı azalış olduğu belirlenmiştir.

Anahtar Kelime: Sırt masajı palyatif bakım uyku kalitesi ağrı holistik bakım hemşirelik bakımı

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Durmaz H, Pamuk Cebeci S (2023). The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. , 963 - 977. 10.20515/otd.1361722
Chicago	Durmaz Hilal,Pamuk Cebeci Sevil The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. (2023): 963 - 977. 10.20515/otd.1361722
MLA	Durmaz Hilal,Pamuk Cebeci Sevil The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. , 2023, ss.963 - 977. 10.20515/otd.1361722
AMA	Durmaz H,Pamuk Cebeci S The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. . 2023; 963 - 977. 10.20515/otd.1361722
Vancouver	Durmaz H,Pamuk Cebeci S The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. . 2023; 963 - 977. 10.20515/otd.1361722
IEEE	Durmaz H,Pamuk Cebeci S "The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain." , ss.963 - 977, 2023. 10.20515/otd.1361722
ISNAD	Durmaz, Hilal - Pamuk Cebeci, Sevil. "The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain". (2023), 963-977. https://doi.org/10.20515/otd.1361722

APA	Durmaz H, Pamuk Cebeci S (2023). The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. Osmangazi Tıp Dergisi, 45(6), 963 - 977. 10.20515/otd.1361722
Chicago	Durmaz Hilal,Pamuk Cebeci Sevil The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. Osmangazi Tıp Dergisi 45, no.6 (2023): 963 - 977. 10.20515/otd.1361722
MLA	Durmaz Hilal,Pamuk Cebeci Sevil The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. Osmangazi Tıp Dergisi, vol.45, no.6, 2023, ss.963 - 977. 10.20515/otd.1361722
AMA	Durmaz H,Pamuk Cebeci S The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. Osmangazi Tıp Dergisi. 2023; 45(6): 963 - 977. 10.20515/otd.1361722
Vancouver	Durmaz H,Pamuk Cebeci S The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain. Osmangazi Tıp Dergisi. 2023; 45(6): 963 - 977. 10.20515/otd.1361722
IEEE	Durmaz H,Pamuk Cebeci S "The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain." Osmangazi Tıp Dergisi, 45, ss.963 - 977, 2023. 10.20515/otd.1361722
ISNAD	Durmaz, Hilal - Pamuk Cebeci, Sevil. "The Effect of Back Massage Applied to Palliative Care Patients on Sleep Quality and Pain". Osmangazi Tıp Dergisi 45/6 (2023), 963-977. https://doi.org/10.20515/otd.1361722